Elizabeth Gabrielle Acker

Individual provider Active NPI Behavior Technician · Pomona, CA

NPI 1235698283 · NPPES record last updated Jul 1, 2021

Key facts

NPI
1235698283
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
21 Rancho Camino Dr
Pomona, CA 91766-7019
Phone
(855) 223-7123
NPI assigned
Mar 19, 2019
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

21 Rancho Camino Dr
Pomona, CA 91766-7019

Mailing address

16782 Von Karman Ave Ste 11
Irvine, CA 92606-2417
Phone (855) 223-7123

Other providers in Pomona, CA

All providers in Pomona, CA · Behavior Technician in California

Sources for this page

Verify at the official NPI Registry.